| NPI | 1831409689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q5630) |
| Additional Taxonomies | 208600000X Surgery (Licence: TX BP20052214) |
| 2086X0206X Surgery, Surgical Oncology (Licence: TX Q5630) | |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2022-10-20 |